| Omidvari Psychiatry P.c. | |
|
1123 Broadway Ste 1117 New York NY 10010-2007 | |
| (646) 874-9340 | |
| (646) 809-8701 |
| Full Name | Omidvari Psychiatry P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1123 Broadway Ste 1117, New York, New York |
| Authorized Official Name and Position | Mohammadmehdi Omidvari (DIRECTOR) |
| Authorized Official Contact | 6468749340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omidvari Psychiatry P.c. 73 Van Etten Blvd New Rochelle NY 10804-2319 Ph: () - | Omidvari Psychiatry P.c. 1123 Broadway Ste 1117 New York NY 10010-2007 Ph: (646) 874-9340 |
| NPI Number | 1194524678 |
|---|---|
| Provider Enumeration Date | 03/10/2025 |
| Last Update Date | 03/10/2025 |
| Certification Date | 03/09/2025 |
| Medicare PECOS PAC ID | 5698291318 |
|---|---|
| Medicare Enrollment ID | O20250425001065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194524678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Mohammadmehdi Omidvari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194137760 PECOS PAC ID: 8921337155 Enrollment ID: I20190912001947 |
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